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PACKAGE LEAFLET: INFORMATION FOR THE USER
SEVELAMER CARBONATE FILM-COATED TABLETS 400MG TAJ PHARMA Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.
Keep this leaflet. You may need to read it again. If you have further questions, ask your doctor or pharmacist. This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours. If you get any side effects, talk to you doctor. This includes any possible side effects not listed in this leaflet. See section 4.
6.
Contents of the pack and other information
1.
WHAT SEVELAMER CARBONATE IS AND WHAT IT IS USED FOR
Sevelamer Carbonate contains sevelamer carbonate as the active substance. It binds phosphate from food in the digestive tract and so reduces serum phosphorus levels in the blood. This medicine is hyperphosphataemia phosphate levels) in:
WHAT IS IN THIS LEAFLET 1. 2. 3. 4. 5.
What Sevelamer Carbonate is and what it is used for What you need to know before you take Sevelamer Carbonate How to take Sevelamer Carbonate Possible side effects How to store Sevelamer Carbonate
used to (high
calcification. These deposits can stiffen your blood vessels and make it harder for blood to be pumped around the body. Increased serum phosphorus can also lead to itchy skin, red eyes, bone pain and fractures. 2.
Do not take Sevelamer Carbonate if:
control blood
Adult patients on dialysis (a blood clearance technique). It can be used in patients undergoing haemodialysis (using a blood filtration machine) or peritoneal dialysis (where fluid is pumped into the abdomen and an internal body membrane filters the blood); Patients with chronic (long-term) kidney disease who are not on dialysis and have a serum (blood) phosphorus level equal to or above 1.78 mmol/l. This medicine should be used with other treatments such as calcium supplements and vitamin D to prevent the development of bone disease.
Increased levels of serum phosphorus can lead to hard deposits in your body called
WHAT YOU NEED TO KNOW BEFORE YOU TAKE SEVELAMER CARBONATE
you are allergic to the active substance or to any of the other ingredients of this medicine (listed in section 6). you have low levels of phosphate in your blood (your doctor will check this for you) you have bowel obstruction
Warnings and precautions Talk to your doctor before taking Sevelamer Carbonate if any of the following applies to you:
Swallowing problems. Your doctor can rather prescribe Sevelamer Carbonate powder for oral suspension problems with motility (movement) in your stomach and bowel being sick frequently
active inflammation of the bowel
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have undergone major surgery on your stomach or bowel
Serious inflammatory bowel disease.
Talk to your doctor while taking Sevelamer Carbonate:
If you experience severe abdominal pain, stomach or intestine disorders, or blood in the stool (gastrointestinal bleeding). These symptoms can be due to sevelamer crystals deposit in your bowel. Contact your doctor who will decide on continuing the treatment or not.
Additional treatments Due to either your kidney condition or your dialysis treatment you may:
Develop low or high levels of calcium in your blood. Since this medicine does not contain calcium your doctor might prescribe additional calcium tablets. Have a low amount of vitamin D in your blood. Therefore, your doctor may monitor the levels of vitamin D in your blood and prescribe additional vitamin D as necessary. If you do not take multivitamin supplements you may also develop low levels of vitamins A, E, K and folic acid in your blood and
therefore your doctor may monitor these levels and prescribe supplemental vitamins as necessary.
Tell your doctor if you are taking, have recently taken or might take any other medicines.
Have disturbed level of bicarbonate in your blood and increased acidity in the blood and other body tissue. Your doctor should monitor the level of bicarbonate in your blood.
Sevelamer Carbonate should not be taken at the same time as ciprofloxacin (an antibiotic).
If you are taking medicines for heart rhythm problems or for epilepsy, you should consult your doctor when taking Sevelamer Carbonate.
The effects of medicines such as ciclosporin, mycophenolate mofetil and tacrolimus (medicines used to suppress the immune system) may be reduced by Sevelamer Carbonate. Your doctor will advise you if you are taking these medicines.
Thyroid hormone deficiency may uncommonly be observed in certain people taking levothyroxine (used to treat low thyroid hormone levels) and Sevelamer Carbonate. Therefore your doctor may monitor the levels of thyroid stimulating hormone in your blood more closely.
Medicines treating heartburn and reflux from your stomach or oesophagus, such as omeprazole, pantoprazole, or lansoprazole, known as “proton pump inhibitors”, may reduce the efficacy of
Special note for patients on peritoneal dialysis You may develop peritonitis (infection of your abdominal fluid) associated with your peritoneal dialysis. This risk can be reduced by careful adherence to sterile techniques during bag changes. You should tell your doctor immediately if you experience any new signs or symptoms of abdominal distress, abdominal swelling, abdominal pain, abdominal tenderness, or abdominal rigidity, constipation, fever, chills, nausea or vomiting. Children The safety and efficacy in children (below the age of 6 years) have not been studied. Therefore this medicine is not recommended for use in children below the age of 6 years. Other medicines and Sevelamer Carbonate
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Sevelamer Carbonate. Your doctor may monitor the phosphate level in your blood. Your doctor will check for interactions between Sevelamer Carbonate and other medicines on a regular basis. In some cases where Sevelamer Carbonate should be taken at the same time as another medicine. Your doctor may advise you to take this medicine 1 hour before or 3 hours after Sevelamer Carbonate intake. Your doctor may also consider monitoring the levels of that medicine in your blood. Pregnancy and breast-feeding If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor for advice before taking this medicine. The potential risk of Sevelamer Carbonate during human pregnancy is unknown. Talk to your doctor who will decide if you can continue the treatment with Sevelamer Carbonate. It is unknown whether Sevelamer Carbonate is excreted in breast milk and may affect your baby. Talk to your doctor who will decide if you can breastfeed your baby or not, and if it is necessary to stop Sevelamer Carbonate treatment.
Driving and using machines
Follow the diet prescribed by your doctor.
Sevelamer Carbonate is unlikely to affect your ability to drive or to use machines.
If you take more Sevelamer Carbonate than you should
Excipients
In the event of a possible overdose you should contact your doctor immediately.
This medicine contains less than 1 mmol sodium (23 mg) per tablet that is to say essentially ‘sodium-free’. 3. How to take Sevelamer Carbonate You must take Sevelamer Carbonate as prescribed by your doctor. They will base the dose on your serum phosphorus level. The recommended starting dose of Sevelamer Carbonate tablets for adults and elderly is one to two tablets of 400mg & 800mg with each meal, 3 times a day. Check with your doctor, pharmacist or nurse if you are not sure. Take Sevelamer Carbonate after your meal or with food. The tablets must be swallowed whole. Do not crush, chew or break into pieces. Initially, your doctor will check the levels of phosphorus in your blood every 2-4 weeks and may adjust the dose of Sevelamer Carbonate when necessary to reach an adequate phosphate level.
If you forget to take Sevelamer Carbonate If you have missed one dose, this dose should be omitted and the next dose should be taken at the usual time with a meal. Do not take a double dose to make up for a forgotten dose. If you stop taking Sevelamer Carbonate Taking your Sevelamer Carbonate treatment is important to maintain an appropriate phosphate level in your blood. Stopping Sevelamer Carbonate would lead to important consequences such as calcification in the blood vessels. If you consider stopping your Sevelamer Carbonate treatment, contact your doctor or pharmacist first. If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
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4. POSSIBLE SIDE EFFECTS Like all medicines, this medicine can cause side effects, although not everybody gets them. Constipation is a very common side effect (may affect more than 1 in 10 people). It can be an early symptom of a blockage in your intestine. In case of constipation, please inform your doctor or pharmacist. Some side effects could be serious. If you get any of the following side effects, seek immediate medical attention:
Allergic reaction (signs including rash, hives, swelling, trouble breathing). This is a very rare side effect (may affect up to 1 in 10,000 people). Blockage in the intestine (signs include: severe bloating; abdominal pain, swelling or cramps; severe constipation) has been reported. Frequency is not known (frequency cannot be estimated from the available data). Rupture in the intestinal wall (signs include: severe stomach pain, chills, fever, nausea, vomiting, or a tender abdomen) has been reported. Frequency is not known.
Intestinal bleeding, inflammation of the large bowel and crystal deposit in the intestine have been reported. Frequency is not known.
Other side effects have been reported in patients taking Sevelamer Carbonate: Very common: vomiting, upper abdominal pain, nausea Common (may affect up to 1 in 10 people): diarrhoea, stomach ache, indigestion, flatulence Not known: cases of itching, rash, slow intestine motility (movement) Reporting of side effects If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. 5. HOW TO STORE SEVELAMER CARBONATE Keep this medicine out of the sight and reach of children. Do not use this medicine after the expiry date stated on the bottle and carton after the letters “EXP”. The expiry date refers to the last day of that month.
Keep the bottle container tightly closed in order to protect from moisture. This medicine does not require any special storage conditions. Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment. 6. CONTENTS OF THE PACK AND OTHER INFORMATION What Sevelamer Carbonate contains The active substance is sevelamer carbonate. Each film-coated tablet contains 400mg & 800mg of sevelamer carbonate a) Each film-coated tablet contains: Sevelamer carbonate 400mg Excipients q.s. b) Each film-coated tablet contains: Sevelamer carbonate 800mg Excipients q.s. What Sevelamer Carbonate looks like and contents of the pack Sevelamer Carbonate film-coated tablets. The tablets are packed in high density polyethylene bottles with a polypropylene cap and an induction seal.
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PVC/PVDC/Al blisters.
Pack sizes:Blisters: 7, 14, 28, 30, 50, 90, 100 and 500mg modified-release tablets. Not all pack sizes may be marketed.
7. MANUFACTURED IN INDIA BY: TAJ PHARMACEUTICALS LTD. Mumbai, India Unit No. 214.Old Bake House, Maharashtra chambers of Commerce Lane, Fort, Mumbai - 400001 at:Gujarat, INDIA. Customer Service and Product Inquiries: 1-800-TRY-FIRST (1-800-222-434 & 1-800222-825) Monday through Saturday 9:00 a.m. to 7:00 p.m. EST E-mail: tajgroup@tajpharma.com